Smartphone Apps - Evidence Based Considerations for Psychology


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Dr. Maheu offers an introduction to evidence-based apps to be used with smartphones and other portable devices.

The above event is sponsored by the TeleMental Health Institute, Inc. We are the premier professional training site for professionals seeking training in telehealth. Our courses are offered in a state-of-the-art, 100% online learning environment that is fully mobile compatible. Professional training is now available from your desktop of mobile device, 24/7, at your home or office.

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Smartphone Apps - Evidence Based Considerations for Psychology

  1. 1. Smartphone andmHealth Apps:Evidence-BasedConsiderations forPsychologyAugust 5, 2012Marlene M. Maheu, 1
  2. 2. Disclaimer• The content of any TeleMental Health Institute training covers a number of developing areas where legal and ethical issues are in still solidifying. It then, is impossible for us to give you definitive advice. We assume you are licensed or otherwise credentialed are responsible for your own decisions and actions.• Our goal is educational only. Our legal advisors insist that we inform you that “No warranty, guarantee, or representation is made by the TeleMental Health Institute, its trainers, guests or independent consultants as to the accuracy or sufficiency of the information contained in our training. Therefore, the Institute, trainers, guests and consultants assume no responsibility in connection therewith.”• Our goal is to outline the issues and alert you to whats happening, including legal, ethical and other risk management issues, but we cannot and are not attempting to provide definitive advice for your specific situation. You are encouraged to seek such specific advice from your specific legal, regulatory, ethical and malpractice bodies.
  3. 3. mHealth• Mobile phones are the predominant form of communication in 3rd world countries – landlines are extremely limited – broadband lags behind in development Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  4. 4. 49.7% of all Americans have a smartphone (Neilson, Feb. 2012) Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  5. 5. Communicationchannel of choicefor many peopleWe are making ourselvesirrelevant to health care! Nick Cummings, Ph.D.
  6. 6. Mobile Subscribers June 2012
  7. 7. Mobile Security
  8. 8. Barriers to mHealth• Lack of data security • Cost of solution• Difficulties for users in finding • Regulation, slowing down mHealth solutions innovation and development• Devices do not meet clinical • Patients discomfort with requirements in terms of change in their healthcare hygiene, waterproofing, etc routine• Lack of standardization in • Technology isnt practical and terms of hardware and affordable for a large enough software, slowing down the market yet market dynamic • Lack of Business Models• Unknown legitimacy, causing • Resistance from healthcare distrust with users providers• Patient information security, • Few members of the target encryption and authentication group (elderly/chronic disease) issues own a relevant mobile device
  9. 9. 15 Categories of Health Apps* Mental Health / Behavior Medical & Other Health • Cardio Fitness • Diet • Emergency Care • Smoking Cessation • Chronic Condition • Stress Management • Sleep • Calculator Apps • Women’s Health • Strength Training • Medication Adherence • Physical Therapy • Mental Health Apps • Allergy – Anger Management • Professional Office – PTSD AppointmentBrian Dolan, July, 2012, 13,600 iPhone Health & Fitness Apps
  10. 10. App to Prescribe Apps?
  11. 11. AllExistingLegalandEthicalRulesApply
  12. 12. Duty to Report / Duty to Warn• (v) Failing to comply with the child abuse reporting requirements of Section 11166 of the Penal Code.• (w) Failing to comply with the elder and adult dependent abuse reporting requirements of Section 15630 of the Welfare and Institutions Code. CA Business and Professions Code Sections 4989.54 (cont.)
  13. 13. Existing TeleMental Health Guidelines• American Medical Association. (2000). Guidelines for Patient-Physician Electronic Mail• American Counseling Association. (1999) (2005). ACA Code of Ethics• American Mental Health Counselors Association. (2000). Code of Ethics of the American Mental Health CounselorsAssociation, Principle 14, Internet On-Line Counseling• American Psychological Association. (1997). APA Statement on Services by Telephone, Teleconferencing, and Internet, Astatement by the Ethics Committee of the American Psychological Association• American Psychological Association. (2010). Ethical principles of psychologists and code of conduct• American Telemedicine Association. (2009). Evidence-Based Practice for Telemental Health• American Telemedicine Association. (2009). Practice Guidelines for Videoconferencing-Based Telemental Health• Australian Psychological Society. (2004). Guidelines for Providing Psychological Services and Products on the Internet• British Psychological Society. (2009). The Provision of Psychological Services via the Internet and Other Non-direct Means• Canadian Psychological Association. (2006). Ethical Guidelines for Psychologists Providing Psychological Services viaElectronic Media• Federation of State Medical Boards of the United States, Inc., Report of the Special Committee on Professional Conduct andEthics. (2002) Model guidelines for the appropriate use of the Internet in medical practice• National Association of Social Workers. (1999) (2008). Code of Ethics• National Board for Certified Counselors and Center for Credentialing and Education, (2001). The Practice of InternetCounseling. (2001)• New Zealand Psychological Psychologists Board (2011). Draft Guidelines: Psychology services delivered via the internet andother electronic media• Ohio Psychological Association. (2010). Telepsychology Guidelines• Winkler, M., Flanagin, A., Chi-Lum, B., White, J., Andrews, K., Kennett, R., DeAngelis, C. & Musacchio, R. (2000). Guidelines formedical and health information sites on the Internet. Journal of the American Medical Association, March 22/29, 283(12), pp.1600-1606
  14. 14. Mobile Security
  15. 15. HIPAA Privacy Rule• Data are “individually identifiable” if they include any of the 18 types of identifiers, listed below, for an individual or for the individual’s employer or family member, or if the provider or researcher is aware that the information could be used, either alone or in combination with other information, to identify an individual:• * Name * Address (all geographic subdivisions smaller than state, including street address, city, county, zip code) * All elements (except years) of dates related to an individual (including birth date, admission date, discharge date, date of death and exact age if over 89) * Telephone numbers * Fax number * Email address * Social Security number * Medical record number * Health plan beneficiary number * Account number * Certificate/license number * Any vehicle or other device serial number * Device identifiers or serial numbers * Web URL * Internet Protocol (IP) address numbers * Finger or voice prints * Photographic images * Any other characteristic that could uniquely identify the individual
  16. 16. Which Technologies to Use?• No Guesswork Needed – HIPAA “compliant” or “compatible” – Practitioners need to be compliant, not technology – Look for documentation of compatibility with HIPAA standards
  17. 17. PrivacyCross-overtechnologiesMany people useSkype’s app on theircell phones to speakor send text messages.Do they count? Copyright 2012 TeleMental Health Institute, Inc. All rights reserved .
  18. 18. Is Skype avideoplatform or asocial mediaplatform? Copyright 2012 TeleMental Health Institute, Inc. All rights reserved .
  19. 19. Security Suggestions• Don’t Download Any Clinical Data• Authenticate – Passwords to lock; passwords to access networks – Biometric authentication is on the rise• Use Antiviral and Malware programs – ” CounterACT is a security control platform that automatically identifies what devices and users are on a network, controls access to the network, blocks threats, remediates security violations at endpoints, and measures compliance to an organizations security policies.
  20. 20. Stolen Phone SafetySAFETY TIPS• Password protect your phone as soon as you receive the device.• Change your online and voicemail passwords often.• Protect your service. Add a security passcode to your online account.• Download device protection and privacy apps for your messaging or smartphone.• Dont use your smartphone & drive - just drive!• Learn how to back up your SIM card contacts. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  21. 21. Empirical Guidance for Text Messaging? • Limited • Research for underlying theory • Research for app itself? Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  22. 22. "It would be strange, and embarrassing, if clinicalpsychologists, supposedly sophisticated methodologicallyand quantitatively trained, were to lag behind internalmedicine, investment analysis, and factory operationscontrol in accepting the computer revolution." - Paul Meehl, 1987 Please sign our petition:
  23. 23. Questions?Marlene M. Maheu, Ph.D.TeleMental Health Institute, Inc.Phone: 619-255-2788Email: mmaheu@telehealth.ORG Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.